Carolina Dermatology PA
NPI 1104678085 · Dermatology Physician · Greenville, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carolina Dermatology PA is a Dermatology Physician organization in Greenville, SC (NPI 1104678085).
Provider details
- NPI number
- 1104678085
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Darragh, Shareholder(864) 293-0281
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Carolina Dermatology of Greenville
Additional practice locations (1)
- 10 Enterprise Blvd Ste 202Greenville, SC 29615-3554Phone: (864) 233-6338
Registry dates
- Enumerated
- 2024-04-03
- Last updated
- 2025-11-10
- Certified
- 2025-11-10
Frequently asked questions
- What is Carolina Dermatology PA's NPI number?
- Carolina Dermatology PA's National Provider Identifier (NPI) is 1104678085, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Carolina Dermatology PA?
- Carolina Dermatology PA is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Carolina Dermatology PA located?
- Carolina Dermatology PA's practice location on file with NPPES is 5 Stevens St Ste 300, Greenville, SC 29605-4528.
- What is Carolina Dermatology PA's phone number?
- The practice phone number listed in the NPPES registry for Carolina Dermatology PA is (864) 233-6338.
- Does Carolina Dermatology PA accept Medicare?
- Carolina Dermatology PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Carolina Dermatology PA?
- The authorized official listed on Carolina Dermatology PA's NPPES record is Charles Darragh, Shareholder. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Carolina Dermatology PA's NPI active?
- Yes — Carolina Dermatology PA's NPI (1104678085) is active in the NPPES registry as of the last update on 2025-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.